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MR. ANGEL ANTONIO SEGARRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
130 WOODLAWN AVE APT 1, JERSEY CITY, NJ 07305-3136
(917) 324-5533
Mailing address
130 WOODLAWN AVE APT 1, JERSEY CITY, NJ 07305-3136
(917) 324-5533

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
323481
NY
225700000X
Massage Therapist
Primary
020730
NY

Other

Enumeration date
10/26/2022
Last updated
10/26/2022
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